Information Collection Request

The GAIN (Greater Access and Impact with NAT) Study: Improving HIV Diagnosis, Linkage to Care, and Prevention Services with HIV Point-of-Care Nucleic Acid Tests (NATs)

ICR 202209-0920-005 · OMB 0920-1357 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Acceptability/Feasibility Assessment Among Clinical and Community Providers Form and Instruction Unchanged Repair queued
Participants in Cross-sectional Comparison of Several POC NATs - Study Visit Survey Form and Instruction Modified Repair queued
Participants in Cross-sectional Comparison of Several POC NATs - ROI Form Form and Instruction Unchanged Repair queued
Participants in POC NAT Acceptability Survey Form and Instruction Unchanged Missing upstream
Participants in RCT of POC NAT or Standard of Care for HIV-positive Patients - Study Visit Form Form and Instruction Modified Repair queued
Participants in RCT of POC NAT or Standard of Care for HIV-positive Patients - ROI Form Form and Instruction Unchanged Repair queued
Participants in Prospective Study of HIV-negative Patients Seeking HIV Testing - Study Visit Survey Form and Instruction Modified Repair queued
Participants in Prospective Study of HIV-negative Patients Seeking HIV Testing - ROI Form Form and Instruction Unchanged Repair queued
Participants in Prospective Study of HIV-negative Patients Seeking HIV Testing and/or PrEP Services - Study Visit Survey Form and Instruction Modified Repair queued
Participants in Prospective Study of HIV-negative Patients Seeking HIV Testing and/or PrEP Services - ROI Form Form and Instruction Unchanged Repair queued
Monthly Study Report Form Form and Instruction Unchanged Repair queued
Nonsubstantiative change request justification_GAIN_0920-1357.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-09-13 Repair queued
Att 16_GAIN patient information sheet_changes accepted_082922.docx Supplementary Document Uploaded 2022-09-13 Repair queued
Att 9_Consent form GAIN study_HIV+ Group_clean_082922.docx Supplementary Document Uploaded 2022-09-09 Repair queued
Att 8_Consent form GAIN study_Testing PEP PrEP Group_changes accepted_082922.docx Supplementary Document Uploaded 2022-09-09 Repair queued
SSB_GAIN_060921.docx Supporting Statement B Uploaded 2021-06-17 Repair queued
Att 10_Consent Form_RCT Group.pdf Supplementary Document Uploaded 2021-06-16 Repair queued
Att 9_Consent form GAIN study_Gay City HIV+ Group.pdf Supplementary Document Uploaded 2021-06-16 Repair queued
Att 8_Consent form GAIN study_Testing PEP PrEP Group.pdf Supplementary Document Uploaded 2021-06-16 Repair queued
Att 7_Privacy impact assessment (PIA).pdf Supplementary Document Uploaded 2021-06-16 Repair queued
Att 6_GAIN IRB approval letter.pdf Supplementary Document Uploaded 2021-06-16 Repair queued
Att 4_GAIN data sources and variables.docx Supplementary Document Uploaded 2021-06-16 Repair queued
Att 3_GAIN study activities and visual overview.pdf Supplementary Document Uploaded 2021-06-16 Repair queued
Att 2_60-Day FRN Published 12-21-2020.pdf Supplementary Document Uploaded 2021-06-16 Repair queued
Att 1_Auth Legislation.docx Supplementary Document Uploaded 2021-06-16 Available
SSA_GAIN_changes accepted_082922.docx Supporting Statement A Uploaded 2022-09-13 Repair queued

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
12/31/2024 12/31/2024
4,898 4,898
1,067 1,067
20,848 20,848





Reginfo record details
12
table that charts list of burden
IC Title Form No. Form Name
Acceptability/Feasibility Assessment Among Clinical and Community Providers n/a Participant Focus Group / Interview Guide
Baseline Data Collection
Monthly Study Report Form n/a Monthly Study Report Form
Participants in Cross-sectional Comparison of Several POC NATs - ROI Form n/a Release of Information Form
Participants in Cross-sectional Comparison of Several POC NATs - Study Visit Survey 0920-1357, n/a Study Visit Survey ,   GAIN Study Visit Survey - Revised 09SEP2022
Participants in POC NAT Acceptability Survey n/a NAT Acceptability Survey
Participants in Prospective Study of HIV-negative Patients Seeking HIV Testing - ROI Form n/a Release of Information Form
Participants in Prospective Study of HIV-negative Patients Seeking HIV Testing - Study Visit Survey 0920-1357, n/a Study Visit Survey ,   GAIN Study Visit Survey - Revised 09SEP2022
Participants in Prospective Study of HIV-negative Patients Seeking HIV Testing and/or PrEP Services - ROI Form n/a Release of Information Form
Participants in Prospective Study of HIV-negative Patients Seeking HIV Testing and/or PrEP Services - Study Visit Survey 0920-1357, n/a Study Visit Survey ,   GAIN Study Visit Survey - Revised 09SEP2022
Participants in RCT of POC NAT or Standard of Care for HIV-positive Patients - ROI Form n/a Release of Information Form
Participants in RCT of POC NAT or Standard of Care for HIV-positive Patients - Study Visit Form 0920-1357, n/a Study Visit Survey ,   GAIN Study Visit Survey - Revised 09SEP2022

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,898 4,898 0 0 0 0
Annual Time Burden (Hours) 1,067 1,067 0 0 0 0
Annual Cost Burden (Dollars) 20,848 20,848 0 0 0 0


Reginfo record details
  No